Last update: April 3, 2020, 11:20 a.m. CDT
For Medicare Advantage, Commercial and Medicaid.
UnitedHealthcare will reimburse for patients to communicate with their doctors using online patient portals, using CPT codes 99421-99423 and HCPCS codes G2061-G2063, as applicable.
Our Medicare Advantage, Medicaid and commercial plans currently reimburse for “e-visits” for patients to connect with their doctors remotely. These services are for established patients, not related to a medical visit within the previous 7 days and not resulting in a medical visit within the next 24 hours (or soonest appointment available).
To help you understand how UnitedHealthcare will reimburse telehealth services during the COVID-19 emergency period, we created a telehealth coding guide that includes scenarios to show some examples of how services might be reimbursed. UnitedHealthcare’s temporary changes to its reimbursement policies do not alter state and federal laws applicable to your practice. This document applies to dates of service March 18 through June 18, 2020, unless UnitedHealthcare extends the end date.
UnitedHealthcare commercial, Medicare Advantage and some Medicaid plans pay for e-visits in all types of locations, including the patient’s home, and in all areas (not just rural). Established patients may have non-face-to-face, patient-initiated communications with their doctors, without going to the doctor’s office, by using online patient portals.
These services can only be reported when the billing practice has an established relationship with the patient. For these e-visits, the patient must generate the initial inquiry, and communications can occur over a 7-day period. For these services, UnitedHealthcare reimburses CPT codes 99421-99423 and HCPCS codes G2061-G2063, as applicable. The patient must verbally consent to receive virtual check-in services.
Until June 18, 2020, UnitedHealthcare will extend this reimbursement to all Medicaid plans.
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The benefits described on this website describe federal requirements and UnitedHealthcare national policy. Additional benefits may be available in some states and under some plans.